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General NPI Number Information
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NPI Number | 1760570998
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Entity Type | Individual
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Provider Name | DELLA A MARTINSEN PHD
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Gender | Female
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 2116 4TH AVE NW STE # 100
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City | MINOT
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State | ND
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Zip | 58703-2967
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Country | US
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Telephone | 701-838-2112
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Fax | 701-838-2115
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Provider Business Mailing Address
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Address Line | 2116 4TH AVE NW STE 100
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City | MINOT
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State | ND
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Zip | 58703-2967
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Country | US
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Telephone | 701-838-2112
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Fax | 701-857-5031
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 312
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License Number State | ND
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 312
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License Number State | ND
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